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促性腺激素释放激素类似物治疗对6至10岁中枢性性早熟女童最终身高的影响。

Effect of gonadotropin-releasing hormone analog treatment on final height in girls aged 6-10 years with central precocious and early puberty.

作者信息

Onat Pınar Şimşek, Erdeve Şenay Savaş, Çetinkaya Semra, Aycan Zehra

机构信息

Department of Pediatrics, Dr. Sami Ulus Obstetrics and Gynecology, Children's Health and Disease Training and Research Hospital, Ankara, Turkey.

Department of Pediatric Endocrinology, Dr. Sami Ulus Obstetrics and Gynecology, Children's Health and Disease Training and Research Hospital Ankara, Turkey.

出版信息

Turk Pediatri Ars. 2020 Dec 16;55(4):361-369. doi: 10.14744/TurkPediatriArs.2020.01700. eCollection 2020.

Abstract

AIM

To determine the effects of gonadotropin-releasing hormone analog treatment on final height and body mass index in girls with central precocious puberty.

MATERIAL AND METHODS

All cases with diagnosis age <8 years constituted group 1 (n=19) and those with ≥8 years constituted group 2 (n=35).

RESULTS

There was no significant difference in height standard deviation score, body mass index standard deviation score, bone age/chronologic age, predicted final height at the time of diagnosis, and follow-up between group 1 and group 2. There was no significant difference in final height (standard deviation score) between the groups. The number of obese and overweight cases at diagnosis and final height was similar. The target height (standard deviation score), predicted final height (standard deviation score), and final height (standard deviation score) were similar in both Group 1 and Group 2.

CONCLUSION

We found that between the ages of 6-9.8 years, girls with central precocious puberty who received gonadotropin-releasing hormone analog treatment reached a final height within their target height range. It is concluded that gonadotropin-releasing hormone analog treatment increases body mass index during treatment and when patients reach the final height, they return to their pretreatment body mass index. Younger age and greater height at the time of diagnosis are the positive factors on final height.

摘要

目的

确定促性腺激素释放激素类似物治疗对中枢性性早熟女孩最终身高和体重指数的影响。

材料与方法

诊断年龄<8岁的所有病例组成第1组(n = 19),≥8岁的病例组成第2组(n = 35)。

结果

第1组和第2组在身高标准差评分、体重指数标准差评分、骨龄/实足年龄、诊断时预测的最终身高以及随访方面无显著差异。两组间最终身高(标准差评分)无显著差异。诊断时肥胖和超重病例数与最终身高相似。第1组和第2组的靶身高(标准差评分)、预测最终身高(标准差评分)和最终身高(标准差评分)相似。

结论

我们发现,在6至9.8岁之间,接受促性腺激素释放激素类似物治疗的中枢性性早熟女孩的最终身高在其靶身高范围内。得出结论,促性腺激素释放激素类似物治疗在治疗期间会增加体重指数,当患者达到最终身高时,体重指数会恢复到治疗前水平。诊断时年龄较小和身高较高是影响最终身高的积极因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c3/7750341/edaa4129bc60/TPA-55-361-g001.jpg

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